Individual
LUCAS G HECHIMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3231-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033415
—
WI
Enumeration date
11/05/2013
Last updated
11/06/2025
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